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DR. OWEN DAVID REYNOLDS M.D.
NPI 1407845712
Dermatology in North Andover, MA

Active since October 19, 2005PECOS Enrolled
198 MASSACHUSETTS AVE STE 105, NORTH ANDOVER, MA 01845(978) 691-5690(978) 691-5693 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Owen David Reynolds M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OWEN DAVID REYNOLDS M.D. (NPI 1407845712) is an individual dermatology provider in North Andover, Massachusetts, licensed in Massachusetts (74177) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407845712
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. OWEN DAVID REYNOLDSCredential: M.D.
Location Address198 MASSACHUSETTS AVE STE 105North Andover, MA 01845-4143
Mailing Address280 Merrimack St Ste 311Lawrence, MA 01843-1779 · (978) 691-5690 · Fax (978) 691-5693
Phone(978) 691-5690
Fax(978) 691-5693
Sole ProprietorNo
Enumeration DateOctober 19, 2005
Last NPPES UpdateDecember 3, 2018
✔ NPI 1407845712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MA · 74177
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 74177 (MA)
198 MASSACHUSETTS AVE STE 105, North Andover, MA 01845
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Other Identifiers 1

Medicaid3102769MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Owen David Reynolds M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA PETKOVA
Nurse Practitioner (Family)
198 MASSACHUSETTS AVE STE 105
NORTH ANDOVER, MA 01845
Essex County (978) 691-5690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Owen Reynolds's NPI number?

The NPI number for Owen Reynolds is 1407845712. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Owen Reynolds located?

Owen Reynolds practices at 198 Massachusetts Ave Ste 105, North Andover, MA 01845. The listed phone number is (978) 691-5690.

What is Owen Reynolds's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Owen Reynolds enrolled in Medicare?

Yes. Owen Reynolds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Owen Reynolds was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.